title: [Paramedian forehead flap for the reconstruction of extensive nasal defects].
abstract: BACKGROUND
  The Department of Dermatology at Hospital Universitario de Guadalajara in Spain is a referral center for Mohs micrographic surgery. Consequently, we are regularly faced with the problem of repairing large surgical defects on the nose. The paramedian forehead flap is currently one of the techniques of choice for the repair of such defects.
  
  
  METHODS
  We review our experience in the repair of nasal defects using the paramedian forehead flap over the period from 2004 to 2008. We describe the surgical technique, complications, and final results.
  
  
  RESULTS
  Ten patients (mean age, 75.1 years) were treated using this flap. Two patients also required cartilage grafts and reconstruction of the internal nasal lining. The most common complications were bleeding (60%) and partial necrosis (10%). The final cosmetic and functional results were considered good or excellent in 90% of cases.
  
  
  CONCLUSIONS
  The forehead flap continues to be one of the best options for the closure of surgical defects of the nasal pyramid larger than 2 cm. Adequate knowledge and careful application of the technique allows excellent results to be obtained with few complications.
authors.affiliation: Servicio de Dermatología, Hospital Universitario de Guadalajara, Universidad de Alcalá de Henares, España. pbelmarf@hotmail.com
authors.forename: P
authors.initials: P
authors.lastname: Belmar
authors.forename: E
authors.initials: E
authors.lastname: de Eusebio
authors.forename: C
authors.initials: C
authors.lastname: Sánchez
authors.forename: A
authors.initials: A
authors.lastname: Vergara
authors.forename: A
authors.initials: A
authors.lastname: Martín
authors.forename: A
authors.initials: A
authors.lastname: Juanes
authors.forename: E
authors.initials: E
authors.lastname: Jiménez
authors.forename: E
authors.initials: E
authors.lastname: Diez
authors.forename: M A
authors.initials: MA
authors.lastname: Pastor
authors.forename: M
authors.initials: M
authors.lastname: Olivares
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002280:Basal Cell Carcinoma / Q000601:surgery; D004954:Esthetics; D005260:Female; D005546:Forehead / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015580:Mohs Surgery / Q000009:adverse effects; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D009667:Nose Deformities, Acquired / Q000209:etiology / Q000601:surgery*; D009669:Nose Neoplasms / Q000601:surgery; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D012878:Skin Neoplasms / Q000601:surgery; D013524:Surgical Flaps